| NPI | 1336247576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5774) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4295) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-01-28 |